关注乳腺癌伴随疾病全方位管理之"2618糖脂工程"  

Strengthening the comprehensive management of concomitant diseases of breast Cancer:2618 Glycolipid Project

作　　者：孔令泉[1] 李姝 伍娟 田申 李浩 厉红元[1] 任国胜[1] 吴凯南[1] Kong Lingquan;Li Shu;Wu Juan;Tian Shen;Li Hao;Li Hongyuan;Ren Guosheng;Wu Kainan(Department of Endocrine and Breast Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院内分泌乳腺外科,400016

出　　处：《中华内分泌外科杂志》2020年第2期89-93,共5页Chinese Journal of Endocrine Surgery

基　　金：国家自然科学基金(81372851)。

摘　　要：2016年10月,中共中央、国务院印发了《"健康中国2030"规划纲要》,到2030年实现全人群、全生命周期的慢性病管理,总体癌症5年生存率提高15%。2019年1月,我国启动"2618糖脂工程",即推进基层糖尿病血糖、血压、血脂"三高共管"的综合管理。乳腺癌是女性最常见的恶性肿瘤,随着对其诊疗水平的提升,大多数患者以慢性病的状态长期生存。糖尿病、血脂异常、高血压在乳腺癌患者中的患病率更高,是常见的乳腺癌伴随疾病,同时乳腺癌患者中也伴有较高比例的颈动脉斑块和颈动脉内膜增厚,但多无明显症状,临床对其危害缺乏认识,这难免会影响乳腺癌患者的治疗和预后。本文将探讨"2618糖脂工程"在乳腺癌患者伴随疾病全程管理中的意义及其实施,以进一步提高乳腺癌患者的生活质量和改善预后。In Oct.2016,the Central Committee of the Communist Party of China and the State Council issued the"Outline for Healthy China 2030",which planned to achieve chronic disease management for the entire population and the overall 5-year survival rate of cancer increasing by 15%by 2030.In Jan.2019,the"2618 Glycolipid Project"was launched,which promoted the comprehensive management of blood glucose,blood pressure and blood lipids in the grassroots.Breast cancer is the most common malignant tumor in women.With the improvement of its diagnosis and treatment,most of the patients survive for a long time in a state of chronic disease.Diabetes,dyslipidemia,and hypertension have a higher prevalence in breast cancer patients,and are most common concomitant diseases of breast cancer.Breast cancer patients also have a higher proportion of carotid plaques and carotid intima thickening.However,there is no obvious symptoms,and there is a lack of clinical understanding of its harm,which will inevitably affect the treatment and prognosis of breast cancer patients.This article will explore the significance and implementation of"2618 Glycolipid Project"in the management of patients with breast cancer,in order to further improve the life quality and the prognosis of breast cancer patients.

关 键 词：乳腺癌 乳腺癌伴随疾病 2618糖脂工程 

分 类 号：R655.8[医药卫生—外科学] R737.9[医药卫生—临床医学]